Soluble stroma-related biomarkers of pancreatic cancer

Autor: Luca Porcu, Maria Rosa Bani, Francesco Novelli, Paola Cappello, Alessia Anastasia, Anna Falanga, E. Morandi, Paola Allavena, Aldo Scarpa, Lucia Minoli, Andrea Resovi, Dorina Belotti, Valter Torri, Raffaella Giavazzi, Giulia Taraboletti
Přispěvatelé: Resovi, A, Bani, M, Porcu, L, Anastasia, A, Minoli, L, Allavena, P, Cappello, P, Novelli, F, Scarpa, A, Morandi, E, Falanga, A, Torri, V, Taraboletti, G, Belotti, D, Giavazzi, R
Rok vydání: 2018
Předmět:
0301 basic medicine
Oncology
Male
Medicine (General)
endocrine system diseases
medicine.medical_treatment
pancreatic cancer
QH426-470
medicine.disease_cause
MMP7
Cohort Studies
0302 clinical medicine
Tumor Microenvironment
Research Articles
TIMP1
Cancer
Aged
80 and over

circulating biomarkers
Middle Aged
Intercellular Adhesion Molecule-1
Prognosis
early diagnosi
early diagnosis
treatment evaluation
tumor microenvironment
Molecular Medicine
030220 oncology & carcinogenesis
Matrix Metalloproteinase 7
Biomarker (medicine)
Female
KRAS
Carcinoma
Pancreatic Ductal

Research Article
Adult
medicine.medical_specialty
03 medical and health sciences
R5-920
Internal medicine
Pancreatic cancer
Genetics
medicine
Biomarkers
Tumor

Animals
Humans
Aged
Biomarkers & Diagnostic Imaging
Tumor microenvironment
Chemotherapy
Tissue Inhibitor of Metalloproteinase-1
circulating biomarker
business.industry
Connective Tissue Growth Factor
Post-translational Modifications
Proteolysis & Proteomics

medicine.disease
digestive system diseases
Pancreatic Neoplasms
030104 developmental biology
Solubility
Pancreatitis
Stromal Cells
business
Thrombospondins
Zdroj: EMBO Molecular Medicine
EMBO Molecular Medicine, Vol 10, Iss 8, Pp n/a-n/a (2018)
ISSN: 1757-4684
Popis: The clinical management of pancreatic ductal adenocarcinoma (PDAC) is hampered by the lack of reliable biomarkers. This study investigated the value of soluble stroma‐related molecules as PDAC biomarkers. In the first exploratory phase, 12 out of 38 molecules were associated with PDAC in a cohort of 25 PDAC patients and 16 healthy subjects. A second confirmatory phase on an independent cohort of 131 PDAC patients, 30 chronic pancreatitis patients, and 131 healthy subjects confirmed the PDAC association for MMP7, CCN2, IGFBP2, TSP2, sICAM1, TIMP1, and PLG. Multivariable logistic regression model identified biomarker panels discriminating respectively PDAC versus healthy subjects (MMP7 + CA19.9, AUC = 0.99, 99% CI = 0.98–1.00) (CCN2 + CA19.9, AUC = 0.96, 99% CI = 0.92–0.99) and PDAC versus chronic pancreatitis (CCN2 + PLG+FN+Col4 + CA19.9, AUC = 0.94, 99% CI = 0.88–0.99). Five molecules were associated with PanIN development in two GEM models of PDAC (PdxCre/LSL‐Kras G12D and PdxCre/LSL‐Kras G12D/+ /LSL‐Trp53 R172H/+ ), suggesting their potential for detecting early disease. These markers were also elevated in patient‐derived orthotopic PDAC xenografts and associated with response to chemotherapy. The identified stroma‐related soluble biomarkers represent potential tools for PDAC diagnosis and for monitoring treatment response of PDAC patients.
Databáze: OpenAIRE